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General NPI Number Information
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NPI Number | 1821305863
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Entity Type | Organization
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Legal Business Name | INVERNESS FAMILY PRACTICE P A
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2222 HIGHWAY 44 W
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City | INVERNESS
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State | FL
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Zip | 34453-3860
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Country | US
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Telephone | 352-860-0633
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Fax | 352-344-8218
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | INVERNESS
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State | FL
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Zip | 34451-0909
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Country | US
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Telephone | 352-860-0633
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Fax | 352-344-8218
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PABLO ERNESTO FIGUEROA
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Credential | M.D.
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Telephone | 352-860-0633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME62708
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License Number State | FL
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